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J K Wing

Publications and source records attributed to J K Wing.

At least 37 records · Page 2Linked to original sources
PubMed1988

The problems of people in long-term psychiatric day care. An introduction to the Camberwell High Contact Survey.

The aims of the Camberwell High Contract Survey (CHCS) were to develop and test a systematic needs assessment procedure and use it to evaluate the services provided to long-term users of day centres and sheltered residential accommodation (excluding hospital wards). This paper describes the background to the study, the sample of 145 attenders and their characteristics, their clinical and social problems and the care provided for them.

Adolescent↗
PubMed1988

Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey.

We report the results of a survey of the needs for items of care of 145 long-term users of psychiatric day-hospitals and day-centres in Camberwell. The overall ratio of met to unmet need was almost exactly 5:1. Need was shown to vary according to chronicity, degree of participation, and placement in day-hospital or day-centre. Specific areas of functioning and specific types of care were identified in which there was significant overprovision or underprovision. The utility of our measures, and their ability to identify clinically significant unmet need, are discussed.

Activities of Daily Living↗
PubMed1988

Comments on the long-term outcome of schizophrenia.

Among the many technical issues dealt with in this symposium, two clinical problems are preeminent--how is schizophrenia defined and what is meant by outcome? Each problem is highly complex. Even given adequate designs, sampling, and analysis, the generalizability of the results depends on the extent to which the diagnostic and outcome criteria are independent of each other and reproducible. The authors amply demonstrate how far we are from achieving such comparability. Schizophrenia, at the moment, is diagnosable only on its manifestations, which can be influenced for better or worse by environmental conditions. Several standardized diagnostic systems are available but they recommend different sets of rules. It is premature, therefore, to speak of a "natural" long-term course. It is even doubtful whether further long-term studies (except perhaps of birth cohorts) should be attempted until more discriminating and reliable methods have been found. Short-term studies, however, focused on specific hypotheses, still hold out promise of yielding fruitful results.

Adolescent↗
PubMed1988

Abandoning what?

Explore the source record for details and available documents.

Humans↗
PubMed1987

Principles and practice of measuring needs in the long-term mentally ill: the MRC needs for care assessment.

We report the development of a new procedure for assessing the needs for treatment and care of the long-term mentally ill. This procedure covers 21 areas of clinical and social functioning, and in each of these specifies appropriate interventions. Decision rules are described which permit problems in functioning to be primarily classified as a met need, an unmet need, or as involving no need, and which allow the identification of various secondary needs. We report preliminary data on the reliability and validity of this procedure and discuss its potential applications in the care of the long-term mentally ill.

Activities of Daily Living↗
PubMed1986

A haven for the severely disabled within the context of a comprehensive psychiatric community service.

The priorities accorded severely disabled or disturbed long-stay patients in Regional and District planning strategies vary enormously. A scheme to cater for the needs of this group is described. The scheme includes: non-stigmatising housing; a domestic regime, daytime occupation and leisure activities offering forms of enabling and caring that foster the highest possible levels of functioning; a secure home; private and peaceful outdoor space; and graduated steps towards independence that allow for the possibility of relapse. The central concept is the establishment of a Community for people with severe difficulties in making social contacts. The importance of integrating the scheme into a comprehensive District psychiatric service is emphasised.

Adult↗
PubMed1983

Use and misuse of the PSE.

The principles underlying the development of the Present State Examination and the instruments and computer programmes associated with it are discussed in the light of comments made in three recent papers by psychiatrists trained in the German tradition of clinical phenomenology. Many of their comments are cogent and highly relevant to the future development of the system. Some common misunderstandings are also considered; in particular, those that lead to results being interpreted outside the limits of the specifications laid down. The potential for improvement in the system is emphasized and the next stage of development briefly described.

Humans↗
PubMed1982

A ward in a house: accommodation for "new' long-stay patients.

A proportion of psychiatric patients still remain in hospital for more than a year who would not be acceptable in community accommodation because of their severe handicaps. This group has been caLled the "new' long-stay. Studies have suggested that this group could be accommodated in high dependency hostels set up in association with a hospital. The first of these hostels was set up at the Maudsley Hospital in 1977. The study reported here was designed to test its effectiveness in the first 4 years of its operation. It was found that this type of accommodation was suitable for a substantial proportion of the "new' long-stay and that it contributed to the alleviation of some of their problem behaviours. It is suggested that further hostels should be set up so that comparisons with other models can be made.

Activities of Daily Living↗
PubMed1981

Epidemiology of mental disorders in Camberwell.

A two-stage psychiatric survey of a random samples of adults aged 18-64 from Camberwell is described. Agency interviewers carried out the first stage (N = 800), using the shorter form of the Present State Examination (PSE). MRC interviewers, using the full PSE, saw a stratified sample of these (N = 310) in the second stage. A second interview was sought with all those of Index of Definition (ID) level 5 and above at the first interview ("cases") and with random sample of those below that level 20.9% refused or were never available for the first interview. Of the 800 subjects successfully interviewed, 10% refused a further interview and 124% of those finally selected for this interview were either unavailable or changed their minds. The MRC data, weighted to represent the whole sample, are used in our analyses. The prevalence of psychiatric disorder as defined in our study was calculated at 6.1% for men and 14.9% for women. Women showed a higher prevalence of disorder in the age-groups 25-34 and 45-54, but in men there was no significant association with age. In contrast to the findings of Brown & Harris (1978), social class did not have a strong association with disorder. Single men had much higher rates than married men, while the reverse was true in women. In both sexes employment was associated with lower rates of disorder. An attempt to explain the high prevalence in women in terms of their role in marriage and child-care was only partly successful.

Adolescent↗